腹腔镜肝胆胰脾手术的临床疗效分析  

Clinical efficacy analysis of laparoscopic surgery in hepatobiliary,splenic and pancreatic diseases

作　　者：罗永平[1] 余炯标[1] 区奕猛 LUO Yong-ping;YU Jiong-biao(Department One of General Surgery,First Affiliated Hospital of Guangdong Pharmaceutical University,Guangzhou 510018,China)

机构地区：[1]广东药科大学附属第一医院普外一科,510018 [2]不详

出　　处：《中国实用医药》2020年第14期22-24,共3页China Practical Medicine

摘　　要：目的研究在肝胆胰脾手术中腹腔镜的临床应用效果。方法123例肝胆胰脾疾病患者,依据患者的具体情况采用相应的腹腔镜手术进行治疗。观察患者的手术方式,术后肛门首次排气时间,从入院挂号到康复出院的时间,术中出血量,手术总耗时,患者以及患者家属对此次治疗的满意度。结果123例患者中,在腹腔镜下进行肝切除手术43例,在腹腔镜下进行胆总管取石手术41例,在腹腔镜下进行脾切除手术39例。所有患者均未出现术中中转开腹情况,术后患者均康复出院,均未发生严重的并发症。患者术后肛门首次排气时间为29~40 h,平均(35.00±5.12)h;从入院挂号到康复出院的时间为6~14 d,平均(9.88±5.12)d;术中出血量为56~114 ml,平均(89.11±6.73)ml;手术总耗时为62~277 min,平均(108.30±18.70)min。患者及患者家属对此次治疗的满意度为99.19%。结论肝胆胰脾手术患者合理利用腹腔镜可以提高手术成功率,缩短住院时间,提高患者以及患者家属的满意度,可在肝胆胰脾手术中进行推广。Objective To study the clinical effect of laparoscopic surgery in hepatobiliary,splenic and pancreatic diseases.Methods A total of 123 patients with hepatobiliary,pancreatic and spleen diseases were treated with laparoscopic surgery according to their specific conditions.The patient’s surgical method,postoperative anal exhaust time,time from admission to rehabilitation and discharge,amount of intraoperative hemorrhage,total operation time,and satisfaction of patients and their families with the treatment were observed.Results Among the 123 patients,43 underwent laparoscopic liver resection,41 underwent laparoscopic choledocholithotomy and 39 underwent laparoscopic splenectomy.None of the patients had been converted to open surgery during the operation,and all patients recovered and were discharged from the hospital without serious complications.The postoperative anal exhaust time was 29-40 h,with an average of(35.00±5.12)h;time from admission to rehabilitation and discharge was 6-14 d,with an average of(9.88±5.12)d;amount of intraoperative hemorrhage was 56-114 ml,with an average of(89.11±6.73)ml;total operation time was 62-277 min,with an average of(108.30±18.70)min.The satisfaction rate of patients and their families with the treatment was 99.19%.Conclusion The reasonable application of laparoscopy in hepatobiliary,splenic and pancreatic surgery can improve the success rate,shorten hospitalization time,and improve the satisfaction of patients and their families,which can be popularized in hepatobiliary,splenic and pancreatic surgery.

关 键 词：腹腔镜 肝胆胰脾 手术 临床疗效 

分 类 号：R656[医药卫生—外科学]